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Full-Text Articles in Health Services Administration

Initial Research And Evaluation Concepts For Public Health Pbrns, Glen Mays Feb 2009

Initial Research And Evaluation Concepts For Public Health Pbrns, Glen Mays

Glen Mays

Initial research and evaluation activities of the Public Health PBRN Program are intended to provide a descriptive characterization of networks during their early stages of development. This descriptive ‘network analysis’ will provide a baseline for tracking changes in network structure and function over time. The information generated through these activities is intended to be useful for a variety of audiences, including current grantees and others interested in developing or expanding public health PBRNs, as well as policy and practice stakeholders interested in using the evidence and insight to be produced through PBRNs.


Start-Up Activities For Public Health Pbrns, Glen Mays Jan 2009

Start-Up Activities For Public Health Pbrns, Glen Mays

Glen Mays

Launching a successful public health practice-based research network requires a planned approach to developing the necessary infrastructure, relationships, and scientific direction.


Designing A Successful Pbrn In Public Health: Key Concepts, Glen P. Mays, Sharla A. Smith May 2008

Designing A Successful Pbrn In Public Health: Key Concepts, Glen P. Mays, Sharla A. Smith

Glen Mays

Successful public health practice-based research networks (PBRNs) will require organizational, financial, and intellectual resources that allow practitioners and researchers to mount relevant studies in real-world public health settings. This brief outlines characteristics likely to be important to the success of public health PBRNs, based on the experience of PBRNs in other practice settings


Finding Order In Complexity: A Typology Of Local Public Health Delivery Systems, Glen Mays Mar 2008

Finding Order In Complexity: A Typology Of Local Public Health Delivery Systems, Glen Mays

Glen Mays

Public health decision-makers and researchers currently lack an evidence-based framework for describing, classifying, and comparing public health delivery systems based on their organizational components, operational characteristics, and division of responsibility. Related typologies developed in the health services sector have proven extremely valuable for policy and administrative decision-making as well as for ongoing research. Performance assessment, quality improvement, and accreditation activities are now blossoming in public health—adding urgency to the need for classification and comparison frameworks. This brief describes a newly-developed empirical typology for local public health systems and highlights its policy and managerial applications.


Burn Disaster Response Planning: An Urban Region's Approach, Roger W. Yurt, Eliot J. Lazar, Nicole E. Leahy, Nicholas V. Cagliuso Jan 2008

Burn Disaster Response Planning: An Urban Region's Approach, Roger W. Yurt, Eliot J. Lazar, Nicole E. Leahy, Nicholas V. Cagliuso

Nicholas V. Cagliuso Sr., Ph.D.

The objective of this study was to describe a draft response plan for the tiered triage, treatment, or transportation of 400 adult and pediatric victims (50/million population) of a burn disaster for the first 3 to 5 days after injury using regional resources. Review of meeting minutes and the 11 deliverables of the draft response plan was performed. The draft burn disaster response plan developed for NYC recommended: 1) City hospitals or regional burn centers within a 60- mile distance be designated as tiered Burn Disaster Receiving Hospitals (BDRH); 2) these hospitals be divided into a four-tier system, based on …


Need For Performance Metrics In Hospital Emergency Management, Eliot J. Lazar, Nicholas V. Cagliuso, Kristine M. Gebbie Jan 2008

Need For Performance Metrics In Hospital Emergency Management, Eliot J. Lazar, Nicholas V. Cagliuso, Kristine M. Gebbie

Nicholas V. Cagliuso Sr., Ph.D.

An extraordinary number of health care quality and patient safety indicators have been developed for hospitals and other health care institutions; however, few meaningful indicators exist for comprehensive assessment of hospital emergency management. Although health care institutions have invested considerable resources in emergency management preparedness, the need for universally accepted, evidence-based performance metrics to measure these efforts remains largely unfulfilled. We suggest that this can be remediated through the application of traditional health care quality paradigms, coupled with novel analytic approaches to develop meaningful performance data in hospital emergency management.